Organization · NPI-2

13th Ave Pharmacy INC.

Pharmacy, Community/Retail Pharmacy · Brooklyn, NY

NPI number1801195250
StatusActive
Last updated in NPPESJul 10, 2012

Details

NPI
1801195250
Entity type
Organization (NPI-2)
Legal business name
13th Ave Pharmacy INC.
Organization subpart
No
Enumeration date
Mar 24, 2011
Last updated
Jul 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy–NYYes

Practice location

5211 13th Ave
Brooklyn, NY 11219-3814

Phone 718-871-9777

Mailing address

5211 13th Ave
Brooklyn, NY 11219-3814

Phone 347-556-3030

Authorized official

Ronald Edelstein
President
7183390927

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